When Surgery is Necessary: Common Hand and Wrist Conditions That Require Treatment

Your hands and wrists are essential for daily activities, from typing and writing to lifting and gripping. When pain, stiffness, or loss of function interferes with your routine, it may be time to consider surgical intervention. While not every hand or wrist issue requires surgery, some conditions may not heal properly without it. At Plano Orthopedic, our specialists are experienced in diagnosing and treating a variety of hand and wrist conditions to help restore function and relieve pain.

1. Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve in the wrist is compressed due to swelling, leading to numbness, tingling, and weakness in the hand. Mild cases can often be treated with splints, therapy, or injections, but severe or persistent symptoms may require carpal tunnel release surgery to relieve pressure on the nerve.

2. Trigger Finger

Trigger finger (stenosing tenosynovitis) happens when a finger gets stuck in a bent position and then suddenly releases, resembling the pull of a trigger. It is caused by inflammation of the tendon sheath. When non-surgical treatments fail, a minor procedure to release the affected tendon can restore normal movement.

3. Dupuytren’s Contracture

This condition causes the thickening and tightening of tissue beneath the skin in the palm, leading to curled fingers that cannot be straightened. In advanced cases, surgical intervention may be necessary to release the tight bands and improve hand mobility.

4. Fractures and Dislocations

Broken bones in the hand or wrist may sometimes require surgery if they are displaced, unstable, or involve joint surfaces. In such cases, pins, plates, or screws may be used to stabilize the bones and ensure proper healing.

5. Arthritis of the Hand and Wrist

Severe arthritis can lead to pain, stiffness, and deformity, making it difficult to perform daily tasks. When conservative treatments like medications and physical therapy are no longer effective, surgical options such as joint fusion or joint replacement may help alleviate pain and restore function.

6. De Quervain’s Tenosynovitis

This condition causes pain and swelling in the tendons along the thumb side of the wrist, often due to repetitive motions. If symptoms do not improve with therapy or injections, a surgical release can relieve pressure and reduce inflammation.

7. Ganglion Cysts

These non-cancerous fluid-filled lumps can develop along tendons or joints in the wrist and may cause discomfort or limit movement. While some cysts resolve on their own, those that are painful or recurrent may require surgical removal.

When to See a Specialist

If you are experiencing persistent hand or wrist pain, numbness, or limited function, it’s important to seek medical attention. At Plano Orthopedic, our hand and wrist specialists will assess your condition and recommend the best treatment plan, whether non-surgical or surgical. Our goal is to help you regain strength, mobility, and comfort so you can return to the activities you love.

If you’re struggling with hand or wrist pain, don’t wait—schedule a consultation with our expert team at Plano Orthopedic today!